Lester D K, Painter G L, Berman A T, Skinner S R
Clin Orthop Relat Res. 1986 Jan(202):205-10.
Sixty patients with congenital upper-limb deficiency were evaluated for scoliosis in 1972. Twenty-one patients had scoliosis of 5 degrees or more and 15 had scoliosis of 10 degrees or more. Fifteen of these patients had long-term follow-up periods. Thirteen patients had idiopathic scoliosis. Idiopathic scoliosis associated with congenital upper-limb deficiency could be divided into three groups, and the progression of scoliosis was predictable within each group. All but one of these patients had a relatively benign course and did not require treatment. Double curves with rotation progressed throughout the growth period. Double curves with Grade 0 rotation tended not to be progressive. Single curves did not have rotation deformity and resolved spontaneously or remained stable. Magnitude of limb deficiency did not correlate with the curve magnitude, progression, or pattern. Muscle imbalance did not appear implicated as a cause for the scoliosis in these patients. Young age at discovery of the curve did not correlate with progression of the curve.
1972年，对60例先天性上肢缺损患者进行了脊柱侧弯评估。21例患者存在5度或以上的脊柱侧弯，15例患者存在10度或以上的脊柱侧弯。其中15例患者进行了长期随访。13例患者患有特发性脊柱侧弯。与先天性上肢缺损相关的特发性脊柱侧弯可分为三组，且每组内脊柱侧弯的进展是可预测的。除1例患者外，所有这些患者的病程相对良性，无需治疗。伴有旋转的双弯在整个生长期都会进展。0级旋转的双弯往往不会进展。单弯没有旋转畸形，可自发缓解或保持稳定。肢体缺损的程度与弯曲程度、进展或模式无关。肌肉失衡似乎不是这些患者脊柱侧弯的原因。发现弯曲时年龄较小与弯曲进展无关。
